- Citizens (Johnston, RI)
- … Risk Managers and/or Senior Risk Managers primarily supporting the Fraud and Claims line of business Qualifications: + 8-12+ years experience in ... adherence to policies and procedures. + Advise and help senior management understand and manage risk and...understanding of regulatory and legislative guidelines, as well as Fraud and Disputes processes + Extensive experience managing projects… more
- Citigroup (Florence, KY)
- **Please see "Additional Job Requirements" for concise information:** The Fraud Risk Officer is a strategic professional who stays abreast of developments within ... drive continuous improvement in the bank's oversight and execution fraud risk management. + Partner closely with...trends and communicate the results to the business and Fraud Prevention peers and senior management. +… more
- Bank of America (Jacksonville, FL)
- …produce optimal results. Job expectations include evaluating data to assess potential fraud risk and creating mitigation strategies. **Responsibilities:** + * ... Fraud Analytics and Innovation Senior Analyst...results. Job expectations include evaluating data to assess potential fraud risk and creating mitigation strategies. Responsibilities:… more
- PenFed Credit Union (Mclean, VA)
- …identifying current fraud trends and root causes, identify fraud risk gaps, and collaborate with senior analysts on recommendations. + Provide continuous ... Execute data programming necessary to complete analysis of emerging fraud trends, fraud risk criteria,...reporting while minimizing redundancy. + Research, investigate and monitor fraud claims items until resolved (backup capacity,… more
- Wells Fargo (West Des Moines, IA)
- …Lead Product Manager for the Fraud Detection Operations Product Enablement Team in Fraud & Claims Management. Are you a passionate product leader with a ... environment by working closely with Product Managers, Engineering, Design, Risk , Compliance, and Scrum teams + Escalation Management: Identify...product development process + 4+ years of experience with Fraud & Claims product or operations +… more
- USAA (Tampa, FL)
- … waste and abuse philosophy, guidelines, and procedures. + Applies expert knowledge of fraud risk associated with health claims . + Ensures risks associated ... of fraud waste and abuse. + Advises claims and SIU investigators on the proper risk...and interprets relevant medical literature for application to health claims policies and guidelines. + Collaborates with senior… more
- Sedgwick (Fort Worth, TX)
- …**Education & Licensing** Bachelor's degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud ... To be responsible for managing SIU investigations of complex fraud schemes involving providers, vendors, attorneys and others; to...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Wells Fargo (Chandler, AZ)
- …Analytic Senior Manager to lead a team of Analytic Consultants responsible for fraud risk analysis, reporting, and fraud strategy development as it ... mitigation actions. Key partnerships with other segments of the Fraud Claims and Management team, product managers,...3+ years direct management experience + 4+ years of fraud risk management experience + 4+ year… more
- SF Fire Credit Union (San Francisco, CA)
- …as the COSO framework. SKILLS & COMPENTENCIES: + Extensive experience in a senior risk management role, preferably within a credit union, financial institution, ... exposures, mitigation strategies, and internal audit findings. + Collaborate with other senior executives to align risk management practices with the credit… more
- LifePoint Health (Richlands, VA)
- …care and safety. Serves as a resource for clinical leadership and staff, for risk and quality related issues and information. Ensures, that the offices are in ... with ever-changing legislation and safety regulations. Is a liaison to the Risk Manager/Coordinator, facilities legal team and out-side agencies to mitigate and… more